Stay calm and relaxed.. Get done examination and your mri report with general surgeon.. Take your time to decide treatment.. Multiple modes available for management of fistula in ano. Not every procedure is too painful.. Take proper antibiotics in early phase of fistula..

Dealing with multiple anal procedures is physically and emotionally exhausting, and it is completely understandable that you want to avoid another invasive surgery. Because you currently have no active pain, discharge, or bleeding, you can and have the time to evaluate carefully, and focus on conservative management. 1. Clarify the Diagnosis Before Deciding on Treatment: * Granulation vs. Fistula-- will require examination by a general surgeon. *Get an MRI Fistulogram or Endoanal Ultrasound. 2. Non-Surgical Management & Healing Support:-- *Warm Sitz Baths: Soak in plain warm water for 10–15 minutes, 2–3 times daily. * Prevent constipation--Soluble fiber supplements (e.g., Psyllium husk taken with ample water).Mild osmotic stool softeners (such as Lactulose or Polyethylene Glycol). *Pelvic Floor Physical Therapy. *Nutritional Recovery: Weight loss and physical weakness directly impair tissue regeneration. Prioritize a high-protein, nutrient-dense diet. 3. Word of Caution---Seek prompt medical evaluation if you develop any features of infection. (fever, progressive throbbing pain, foul-smelling discharge, or swelling in the perianal area).

Already advised you to upload previous surgery papers and MRI pelvis report which you did not do